Arrowhead Home Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

ARROWHEAD HOME INC

Practice address

639 S Glenwood PL Unit 118
Burbank, CA 91506-2819

Phone

(818) 561-5852

Fax

(818) 293-4211

NPI assigned

Dec 10, 2020

Last updated

Nov 9, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vardan Shishmanyan

Title

Ceo

Phone

(818) 561-5852

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811593114. Details of each certification follow.

• CCN 753121 Home health agency · Active · Details

Home health agency certification: CCN 753121

Legal name

ARROWHEAD HOME INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 20, 2002

Last certification

Feb 11, 2022

Organization structure

CorporationProprietary

Incorporated

Dec 1, 2020 in CA

Enrollment address

639 S Glenwood PL
Unit 118
Burbank, CA 91506-2819

Listed as

Arrowhead Home IncCCN 753121 · All quality measures

Overall star rating

4 of 5

Ownership

-

Certified

Nov 20, 2002

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Nana Barseghian, MD

  • Hospitalist Physician
  • Panorama City, CA
  • NPI 1245401819

  Home health agency

  Care Compare affiliation
• Aram Gabrielyan

  • Hospitalist Physician
  • Glendale, CA
  • NPI 1770901985

  Home health agency

  Care Compare affiliation
• Gary Austin Grimes, MD

  • Family Medicine Physician
  • Palmdale, CA
  • NPI 1922172089

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1811593114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 S GLENWOOD PL UNIT 118",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062819",
            "telephone_number": "818-561-5852",
            "fax_number": "818-293-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 S GLENWOOD PL UNIT 118",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915062819",
            "telephone_number": "818-561-5852",
            "fax_number": "818-293-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARROWHEAD HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "SHISHMANYAN",
        "authorized_official_first_name": "VARDAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-561-5852"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Burbank, CA
• Providers in Burbank, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.